Y CLAIM 0 90 DAYS NOT CLAIM la ITEM i QUANTITY VALUE DESCRIPTION f_ 4 DAIINitIS . (..A.I tit .t - ti iI I ' C 'rill / 0 2- .0 kill tAifrais) it I i -k V% kl aitA 111ASI-A- • (q 71G1 11.11ott TOTAL PACKAGE WEIGHT I Wet,/ acknowledge that the above list represents a I property taken